Full Description
This is the first examination in depth of the reasons and ways that people seek psychiatric help. Viewing contemporary metropolitan life from the standpoint of an experienced social analyst, Charles Kadushin deals with such issues as, why people believe they have emotional problems, what types of problems send them to psychiatrists, how, why, and by whom potential patients are told they are disturbed, why people choose psychiatry over other healing methods, and why many people do not receive treatment from the sources to which they apply.
The author develops a new theory of social circles, describing how people move in a network of friends and acquaintances with varying degrees of knowledge of and interest in psychiatry. This factor affects decisions to obtain professional help and also has bearing on the types of problems presented. The study encompasses a wide variety of persons in a complex community environment--New York City, the psychotherapy capital of the world. The basic data were obtained from 1,500 patients in ten psychiatric clinics in three major treatment areas medical, analytic, and religio-psychiatric.
The book provides new insights into the motivations of the patients as well as information about their social setting. It is an informative and engrossing work for students and scholars; for sociologists in the areas of medicine and mental health; for psychiatrists, clinical psychologists, and social workers actively engaged in treatment and casework; and for all professionals in the community health field.
Contents
I: The Study and the Cast of Characters; 1: The Decision to Go to a Psychiatrist; 2: Data-Collection in a Psychiatric Setting; 3: Therapists, Clinics, and Patients: The Organization of Outpatient Psychotherapy; 57: The Theory of Our Friends; II: The Realization of a Problem; 5: The Sociology of Presenting Problems; 6: Presenting Problems and Psychiatric Diagnoses; 7: The Effect of Sophistication, Training, and Social Reality on the Presentation of Self; III: Intermediate Steps in the Decision to Seek Therapy; 8: Free Advice; 9: False Starts: Previous Sources of Treatment; 10: From Bartenders to Psychiatrists: Images of the Professions; IV: The Decision to Go to a Clinic; 11: Searching for Information and Acquiring Knowledge; 12: Hopes and Money: Cognitions and Evaluations of Psychotherapy and Psychiatric Clinics; 13: Personal Influence and the Last Straw; V: Toward Better Community Mental-Health Programs; 14: Summary of Findings; Community Psychiatry and the Friends and Supporters of Psychotherapy: Some Recommendations for Action
